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Organization
MARLBORO CHESTERFIELD PATHOLOGY, PC
Active
Organization
MARLBORO CHESTERFIELD PATHOLOGY, PC
Active
Parent organization
MARLBORO CHESTERFIELD PATHOLOGY, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARLBORO CHESTERFIELD PATHOLOGY, PC
Authorized official
CYNTHIA DAWN QUICK (BILLING)
(910) 687-4189
Entity
Organization
Contact information
Practice address
30 PAGE ST, PINEHURST, NC 28374-7928
(910) 687-4188
(910) 235-0171
Mailing address
PO BOX 4270, PINEHURST, NC 28374-4270
(910) 687-4189
(910) 235-0171
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42D0713042
CLIA NUMBER
NC
Enumeration date
11/20/2020
Last updated
11/20/2020
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